首页|药食同源类中药治疗骨髓抑制的用药规律及潜在机制分析

药食同源类中药治疗骨髓抑制的用药规律及潜在机制分析

Regularity and mechanism of medicinal and edible herbs in the treatment of myelosuppression

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目的 通过对相关文献检索、汇总、整理及可视化分析,探讨药食同源类中药(MEHs)治疗骨髓抑制的组方配伍规律及潜在作用机制.方法 检索Web of science、中国知网、万方数据知识服务平台、维普中文期刊、中国生物医学文献等数据库中有关中医药治疗骨髓抑制的文献,采用SPSS、CiteSpace等软件对所选文献中涉及的MEHs进行频数、功效、相关性等多元统计分析,总结MEHs治疗骨髓抑制的潜在机制.结果 共纳入组方123组,涉及中药170味,其中MEHs 38味.聚类分析得到5对MEHs核心药物组合,主要功效包括补气养血、健脾祛湿、益气固肾等,其潜在作用机制涉及酪氨酸蛋白激酶2-转录激活蛋白5、p-连环蛋白等多条相关信号通路.结论 临床MEHs缓解化学治疗所致骨髓抑制的相关报道主要集中在黄芪与当归、茯苓、党参等药味的配伍组合,并通过促进造血干细胞增殖、延缓造血干细胞衰老等机制发挥药效.
Objective To explore the regularity and potential mechanisms of medicinal and edible herbs(MEHs)in the treatment of myelosuppression through the retrieval,summary,sorting and visual analysis of relevant literature.Methods Literature about MEHs treatment for myelosuppression was reviewed in document databases,such as Web of Science,CNKI,Wanfang Data Knowledge Service Platform,China Science and Technology Journal Database,and China Biology Medicine Disc.Multivariate statistical analysis was performed using the SPSS and CiteSpace software to explore the frequency,efficacy and correlation of MEHs,as well as the potential mechanisms of MEHs in treating myelosuppression.Results A total of 123 recipes involving 170 traditional Chinese medicines(including 38 MEHs)were screened out.Five pairs of MEHs core combinations in the treatment of myelosuppression were obtained by cluster analysis.Their main functions included benefiting qi and nourishing blood,invigo-rating spleen and dispelling dampness,replenishing qi and solidifying kidney.The potential mechanisms were associated with many related signal pathways,such as Janus kinase 2-signal transducer and activator of transcription 5 andβ-catenini.Conclusion MEHs such as radix astragali combined with angelica sinensis,poria cocos and codonopsis pilosula are mainly used clinically to treat myelosuppression induced by chemotherapy.They play their therapeutic effects by promoting proliferation and delaying senescence of hematopoietic stem cells.

medicinal and edible herbsmyelosuppressionregularitypotential mechanisms

高一乔、张一鑫、杨玉叶、魏召巍

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新乡医学院药学院药物分析学教研室,河南 新乡 453003

药食同源类中药 骨髓抑制 用药规律 潜在机制

国家自然科学基金河南省科技攻关计划

82304818222102310118

2024

新乡医学院学报
新乡医学院

新乡医学院学报

CSTPCD
影响因子:0.999
ISSN:1004-7239
年,卷(期):2024.41(3)
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